Organization Active NPI

Island Wide Home Care Inc

  • Durable Medical Equipment & Medical Supplies
  • Holbrook, NY
National Provider Identifier
1851433627
Registry record updated Mar 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
ISLAND WIDE HOME CARE INC
Practice address
751 Coates Ave
Suite 41
Holbrook, NY 11741-6039
Phone
(631) 467-3268
Fax
(631) 467-3269
NPI assigned
Feb 12, 2007
Last updated
Mar 28, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Peter Puch, RRT
Title
President
Phone
(631) 467-3268

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X NU Primary

Addresses

Primary practice location

751 Coates Ave
Suite 41
Holbrook, NY 11741-6039

Mailing address

751 Coates Ave
Suite 41
Holbrook, NY 11741-6039
Phone (631) 467-3268

National Provider Directory

National Provider Directory

Locations

321 Dante Ct
Ste C5
Holbrook, NY 11741
Phone (631) 467-3268

751 Coates Ave
Ste 41
Holbrook, NY 11741
Phone (631) 467-3268

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332892800000",
    "number": "1851433627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "751 COATES AVE",
            "address_2": "SUITE 41",
            "city": "HOLBROOK",
            "state": "NY",
            "postal_code": "117416039",
            "telephone_number": "631-467-3268",
            "fax_number": "631-467-3269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "751 COATES AVE",
            "address_2": "SUITE 41",
            "city": "HOLBROOK",
            "state": "NY",
            "postal_code": "117416039",
            "telephone_number": "631-467-3268",
            "fax_number": "631-467-3269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ISLAND WIDE HOME CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-12",
        "last_updated": "2012-03-28",
        "status": "A",
        "authorized_official_last_name": "PUCH",
        "authorized_official_first_name": "PETER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "631-467-3268",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RRT"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Holbrook, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.